Organization
Sudheer J Surpure MD DDS Inc
Provider's NPPES record last updated: April 8, 2021
Overview
- Entity Type
- Organization
- NPI
- 1023609062
- Primary Specialty
- Oral & Maxillofacial Surgery
- Practice Location
- Flagstaff, Arizona
- Organization Subpart
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 10:28 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Oral & Maxillofacial Surgery
Allopathic & Osteopathic Physicians
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
Taxonomy code 204E00000X
Practice Locations
Practice Location
1600 W University Ave Ste 101
Flagstaff, Arizona 86001-3154
Phone: (928) 247-6200
Additional Practice Location
1600 W University Ave Ste 101
Flagstaff, Arizona 86001-3154
Phone: (928) 247-6200
Additional Practice Location
1600 W Sunset Rd Ste B
Henderson, Nevada 89014-2655
Phone: (615) 480-5534
Other Names
- Grand Canyon Oral and Facial SurgeryReported January 7, 2021
- Grand Canyon Oral and Facial SurgeryReported April 8, 2021
Record Information
- Enumeration Date
- February 2, 2021
- Provider's NPPES Record Last Updated
- April 8, 2021
- Certification Date
- March 16, 2021
- NPISignal NPPES Dataset
- August 2026
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